Dun et al, 20162929 Dun EC, Wong S, Lakhi NA, Nehzat CH. Recurrent massive ascites due to mossy endometriosis. Fertil Steril 2016;106(06):e14. Doi: 10.1016/j.fertnstert.2016.07.1119 https://doi.org/10.1016/j.fertnstert.201...
|
Leuprolide + oral norethindrone |
Ascites persisted |
Laparoscopic evacuation of ascites and excision of endometriosis |
No recurrence (6-month follow-up) |
Hasdemir et al, 20154040 Hasdemir PS, Ikiz N, Ozcakir HT, Kara E, Guvenal T. Endometriosis associated with relapsing ascites and pleural effusions. J Obstet Gynaecol 2015;35(04):419. Doi: 10.3109/01443615.2014.948823 https://doi.org/10.3109/01443615.2014.94...
|
Leuprorelin acetate for 6 months |
Resolution of symptoms until 2 months after cessation |
Dienogest |
Resolution of symptoms (3-month follow-up) |
Hinduja et al, 20164242 Hinduja I, Kapadia K, Udwadia F, Bhilawadikar R, Adhe A, Zaveri K. Unusual presentation of endometriosis with haemorrhagic ascites - A case report. J Obstet Gynaecol 2016;36(01):133-134. Doi: 10.3109/01443615.2015.1030605 https://doi.org/10.3109/01443615.2015.10...
|
Leuprolide 3.75 mg monthly |
Recurrence after 6 months |
TAH + BSO |
Ascitic fluid leakage through vaginal suture line (10 days after the operation) |
Short-acting GnRH agonist + oral danazol followed by GnRH only |
No recurrence (1-year follow-up) |
Setubal et al, 20152424 Setubal A, Sidiropoulou Z, Soares S, Barbosa C. Endometriosis and ascites: a strategy to achieve pregnancy. J Minim Invasive Gynecol 2015;22(06):1104-1108. Doi: 10.1016/j.jmig.2015.05.013 https://doi.org/10.1016/j.jmig.2015.05.0...
|
Continuous OCP for 3 months |
Ascites persisted |
GnRH agonist, then laparoscopic excision of lesions followed by GnRH agonist |
Minimal ascites |
Underwent IVF protocol |
Minimal ascites |
OCP |
Symptom-free |
Appleby et al, 20142828 Appleby R, Saroya H, Postgate A, Meer Z. A young woman with abdominal distension. BMJ Case Rep 2014;2014:bcr2014203726. Doi: 10.1136/bcr-2014-203726 https://doi.org/10.1136/bcr-2014-203726...
|
GnRH antagonist |
No recurrence (6-month follow-up) |
Asano et al, 20143030 Asano R, Nakazawa T, Hirahara F, Sakakibara H. Dienogest was effective in treating hemorrhagic ascites caused by endometriosis: a case report. J Minim Invasive Gynecol 2014;21(06):1110-1112. Doi: 10.1016/j.jmig.2014.04.014 https://doi.org/10.1016/j.jmig.2014.04.0...
|
GnRH agonist |
Ascites recurred |
Oral dienogest |
No recurrence (1-year follow-up) |
Bignall et al, 20142222 Bignall J, Arambage K, Vimplis S. Endometriosis: a rare and interesting cause of recurrent haemorrhagic ascites. BMJ Case Rep 2014;2014:bcr2013010052. Doi: 10.1136/bcr-2013-010052 https://doi.org/10.1136/bcr-2013-010052...
|
GnRH agonists |
Ascites recurred |
|
GnRH agonists + tibolone + NSAIDs + pregabalin |
Symptoms well-controlled |
Cosma et al, 20144141 Cosma S, Ceccaroni M, Benedetto C. A pseudoneoplastic finding of deep endometriosis: laparoscopic triple segmental bowel resection. Wideochir Inne Tech Malo Inwazyjne 2014;9(03):463-467. Doi: 10.5114/wiitm.2014.41617 https://doi.org/10.5114/wiitm.2014.41617...
|
Laparoscopic excision of lesions |
Modest recurrence (250 mL) after 42 days |
Shabeerali et al, 20121111 Shabeerali TU, Rajan R, Kuruvilla AP, et al. Hemorrhagic ascites: are we missing endometriosis? Indian J Gastroenterol 2012;31 (04):195-197. Doi: 10.1007/s12664-012-0221-1 https://doi.org/10.1007/s12664-012-0221-...
|
CASE 1: GnRH analogue |
No recurrence (6-month follow-up) |
CASE 2: Subtotal abdominal hysterectomy + BSO |
No recurrence (1-year follow-up) |
CASE 3: GnRH analogues for 1 year; then, TAH + BSO |
Partial response; then, relatively asymptomatic at 1-year follow-up |
Ferrero and Remorgida, 20113636 Ferrero S, Remorgida V. Endometriosis presenting with hemorrhagic ascites. Arch Gynecol Obstet 2011;283(06):1429-1430. Doi: 10.1007/s00404-010-1796-3 https://doi.org/10.1007/s00404-010-1796-...
|
Norethindrone acetate (25 mg daily) |
No recurrence (1-year follow-up) |
Ignacio et al, 20101818 Ignacio MM, Joseph N, Hélder F, Mamourou K, Arnaud W. Massive ascites, pleural effusion, and diaphragmatic implants in a patient with endometriosis. Eur J Obstet Gynecol Reprod Biol 2010;149 (01):117-118. Doi: 10.1016/j.ejogrb.2009.10.017 https://doi.org/10.1016/j.ejogrb.2009.10...
|
GnRH analogue |
No recurrence (8-month follow-up) |
Lin et al, 20103737 Lin JN, Lin HL, Huang CK, et al. Endometriosis presenting as bloody ascites and shock. J Emerg Med 2010;38(01):30-32. Doi: 10.1016/j.jemermed.2008.03.031 https://doi.org/10.1016/j.jemermed.2008....
|
Laparoscopic electrocauterization of lesions |
Condition stabilized |
Suchetha et al, 201077 Suchetha S, Rema P, Mathew AP, Sebastian P. Endometriosis with massive hemorrhagic ascites. Indian J Cancer 2010;47(02): 224-225. Doi: 10.4103/0019-509X.63004 https://doi.org/10.4103/0019-509X.63004...
|
GnRH analogues for 1 year |
Good response |
Park et al, 20093939 Park BJ, Kim TE, Kim YW. Massive peritoneal fluid and markedly elevated serum CA125 and CA19-9 levels associated with an ovarian endometrioma. J Obstet Gynaecol Res 2009;35(05): 935-939. Doi: 10.1111/j.1447-0756.2009.01122.x https://doi.org/10.1111/j.1447-0756.2009...
|
Laparoscopic excision of endometrioma + GnRH agonist for 6 months + tibolone |
No recurrence (1-year follow-up) |
Sait, 20083838 Sait KH. Massive ascites as a presentation in a young woman with endometriosis: a case report. Fertil Steril 2008;90(05):2015.e17-2015.e19
|
Bilateral ovarian cystectomies + GnRH analogue for 6 months followed by OCP |
No recurrence (2-year follow-up) |
Santos et al, 200766 Santos VM, Barbosa ER Jr, Lima SH, Porto AS. Abdominal cocoon associated with endometriosis. Singapore Med J 2007;48(09): e240-e242
|
Laparoscopy + laparotomy |
NR. Patient died after 5 months |
Palayekar et al, 20072020 Palayekar M, Jenci J, Carlson JA Jr. Recurrent hemorrhagic ascites: a rare presentation of endometriosis. Obstet Gynecol 2007;110(2 Pt 2):521-522
|
TAH + BSO |
No recurrence (1-year follow-up) |
Fortier et al, 20052323 Fortier D, Dedecker F, Gabriele M, Graesslin O, Barau G.[Endometriosis with ascites and pleural effusion: a case report]. Gynecol Obstet Fertil 2005;33(7-8):508-510. Doi: 10.1016/j.gyobfe.2005.05.014 https://doi.org/10.1016/j.gyobfe.2005.05...
|
Ovarian cystectomy + GnRH analogue for 6 months + laparoscopic excision of lesions + oral progesterone for 6 months |
Two recurrences |
Ceased treatment and started clomiphene due to pregnancy desire |
Ascites recurrence |
GnRH for 2 months |
Ascites recurrence |
GnRH for 6 months |
Ascites recurrence |
Mohd Noor et al, 200488 Mohd Noor NH, Zaki NM, Kaur G, Naik VR, Zakaria AZ. Abdominal cocoon in association with adenomyosis and leiomyomata of the uterus and endometriotic cyst : unusual presentation. Malays J Med Sci 2004;11(01):81-85
|
Laparotomy + excision of lesions |
No recurrence (4-week follow-up) |
Zeppa et al, 20043535 Zeppa P, Vetrani A, Cozzolino I, Palombini L. Endometrial glands in ascites secondary to endometriosis. Diagn Cytopathol 2004;30 (02):131-132. Doi: 10.1002/dc.10390 https://doi.org/10.1002/dc.10390...
|
NR |
NR |
Cheong and Lim, 200333 Cheong EC, Lim DT. Massive ascites-an uncommon presentation of endometriosis. Singapore Med J 2003;44(02):98-100
|
NR |
NR |
Jeanes et al, 20023434 Jeanes AC, Murray D, Davidson B, Hamilton M, Watkinson AF. Case report: hepatic and retro-peritoneal endometriosis presenting as obstructive jaundice with ascites: a case report and review of the literature. Clin Radiol 2002;57(03):226-229. Doi: 10.1053/crad.2001.0667 https://doi.org/10.1053/crad.2001.0667...
|
Double hysterectomy + left oophorectomy followed by estradiol for 6 months followed by goserelin |
No recurrence (3-year follow-up) |
Moffatt and Mitchell, 20021919 Moffatt SD, Mitchell JD. Massive pleural endometriosis. Eur J Cardiothorac Surg 2002;22(02):321-323. Doi: 10.1016/S10107940(02)00277-4 https://doi.org/10.1016/S10107940(02)002...
|
Leuprolide + premarin |
Recurrence after 4 weeks |
TAH + BSO + leuprolide |
No recurrence (9-month follow-up) |
Bhojawala et al, 20001717 Bhojawala J, Heller DS, Cracchiolo B, Sama J. Endometriosis presenting as bloody pleural effusion and ascites-report of a case and review of the literature. Arch Gynecol Obstet 2000; 264(01):39-41. Doi: 10.1007/PL00007484 https://doi.org/10.1007/PL00007484...
|
TAH + RSO |
No recurrence (6-week follow-up) |
Samora-Mata and Feste, 19992525 Samora-Mata J, Feste JR. Endometriosis ascites: a case report. JSLS 1999;3(03):229-231
|
TAH + RSO |
NR |
Myneyyirci-Delale et al, 19981212 Muneyyirci-Delale O, Neil G, Serur E, Gordon D, Maiman M, Sedlis A. Endometriosis with massive ascites. Gynecol Oncol 1998;69 (01):42-46. Doi: 10.1006/gyno.1998.4953 https://doi.org/10.1006/gyno.1998.4953...
|
Laparoscopic excision of lesions followed by GnRH agonist for 6 months; then, excision of new ovarian cyst + danazol daily for 6 months followed by norethindrone acetate |
Recurrence after 1 year; then, no recurrence (3-year follow-up) |
Laparotomy + monthly depo provera injections; then, TAH + BSO |
Recurrence after 3 years; then, no recurrence (6-month follow-up) |
Appendectomy and left ovarian wedge resection + lupron |
No recurrence |
Lysis of adhesions + LSO followed by lupron followed by norethindrone acetate |
NR |
Frigerio et al, 199755 Frigerio L, Taccagni GL, Mariani A, Mangili G, Ferrari A. Idiopathic sclerosing peritonitis associated with florid mesothelial hyperplasia, ovarian fibromatosis, and endometriosis: a new disorder of abdominal mass. Am J Obstet Gynecol 1997;176(03):721-722. Doi: 10.1016/S0002-9378(97)70581-7 https://doi.org/10.1016/S0002-9378(97)70...
|
TAH + BSO + appendectomy + omentectomy |
No recurrence (3-year follow-up) |
Mejia et al, 19971616 Mejia EM, Alvarez OA, Lee M. Endometriosis with massive bloody ascites. J Am Board Fam Pract 1997;10(01):59-61
|
Laparotomy |
No recurrence (15-month follow-up) |
Flanagan and Barnes, 19962121 Flanagan KL, Barnes NC. Pleural fluid accumulation due to intraabdominal endometriosis: a case report and review of the literature.Thorax1996;51(10):1062-1063.Doi:10.1136/thx.51.10.1062 https://doi.org/10.1136/thx.51.10.1062...
|
Laparotomy + GnRH agonist for 6 months |
Recurrence (twice in 1 year) |
Prednisolone 30 mg daily |
Recurrence |
Leuprorelin for 5 months |
Recurrence |
Myers et al, 19953333 Myers TJ, Arena B, Granai CO. Pelvic endometriosis mimicking advanced ovarian cancer: presentation with pleural effusion, ascites, and elevated serum CA 125 level. Am J Obstet Gynecol 1995;173(3 Pt 1):966-967
|
TAH + BSO + lysis of adhesions |
No recurrence (8-month follow-up) |
Jose et al, 19943232 Jose R, George SS, Seshadri L. Massive ascites associated with endometriosis. Int J Gynaecol Obstet 1994;44(03):287-288. Doi: 10.1016/0020-7292(94)90185-6 https://doi.org/10.1016/0020-7292(94)901...
|
LSO |
Recurrence after 1 year |
|
Laparotomy + danazol |
NR |
Schlueter an McClennan, 19941313 Schlueter FJ, McClennan BL. Massive ascites and pleural effusions associated with endometriosis. Abdom Imaging 1994;19(05): 475-476
|
Leuprolide acetate monthly |
No recurrence (3-month follow-up) |
Williams and Wagaman, 19911515 Williams RS, Wagaman R. Endometriosis associated with massive ascites and absence of pelvic peritoneum. Am J Obstet Gynecol 1991;164(1 Pt 1):45-46. Doi: 10.1016/0002-9378(91)90621-W https://doi.org/10.1016/0002-9378(91)906...
|
Medroxyprogesterone acetate |
Recurrence after 1 month |
Depot lupron for 3 months |
Some ascites |
TAH + BSO |
Recurrence after 3 months |
Tenckhoff catheter placed for 2 weeks |
No recurrence (9-month follow-up) |
Chichareon and Wattanakitkrailert, 19883131 Chichareon SB, Wattanakitkrailert S. Endometriosis with ascites. Acta Obstet Gynecol Scand 1988;67(02):187-188. Doi: 10.3109/00016348809004198 https://doi.org/10.3109/0001634880900419...
|
TAH + BSO |
No recurrence (6-month follow-up) |
Olubuyide et al, 19882727 Olubuyide IO, Adebajo AO, Adeleye JA, Solanke TF. Massive ascites associated with endometriosis in a Nigerian African. Int J Gynaecol Obstet 1988;27(03):439-441. Doi: 10.1016/0020-7292(88) 90127-0 https://doi.org/10.1016/0020-7292(88)...
|
Oral norethisterone |
No recurrence (1-year follow-up) |
Naraynsingh et al, 19852626 Naraynsingh V, Raju GC, Ratan P, Wong J. Massive ascites due to omental endometriosis. Postgrad Med J 1985;61(716):539-540. Doi: 10.1136/pgmj.61.716.53 https://doi.org/10.1136/pgmj.61.716.53...
|
Depo provera for 6 months |
No recurrence (4-year follow-up) |
Cantor et al, 19791414 Cantor JO, Fenoglio CM, Richart RM. A case ofextensive abdominal endometriosis. Am J Obstet Gynecol 1979;134(07):846-847. Doi: 10.1016/0002-9378(79)90958-X https://doi.org/10.1016/0002-9378(79)909...
|
NR |
NR |